Author Topic: Complex Post Traumatic Stress Disorder  (Read 3584 times)

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Offline Anonymous

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Complex Post Traumatic Stress Disorder
« on: January 15, 2009, 10:10:56 PM »
I looked up "post traumatic stress disorder cult" on an internet search, and I came up with some hits for Complex Post Traumatic Stress Disorder, which is new to me. From what I read it seemed like a good match because it is less about a single traumatic event and more about a series of events, like child abuse or wife battering, over a period of time. Some of the links specifically talk about people who were in cults.

Also, some of what I have read about domestic violence really fits if you just put in the cult and what it did in place of the single person abuser:

http://www.domesticviolence.org/violence-wheel/
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Offline Nonconformistlaw

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Re: Complex Post Traumatic Stress Disorder
« Reply #1 on: January 15, 2009, 11:04:26 PM »
Complex PTSD
Julia M. Whealin, Ph.D. and Laurie Slone, Ph.D.

http://www.ncptsd.va.gov/ncmain/ncdocs/ ... =factsheet

Differences between the effects of short-term trauma and the effects of chronic trauma?

The diagnosis of PTSD accurately describes the symptoms that result when a person experiences a short-lived trauma. For example, car accidents, natural disasters, and rape are considered traumatic events of time-limited duration. However, chronic traumas continue or repeat for months or years at a time. Clinicians and researchers have found that the current PTSD diagnosis often does not capture the severe psychological harm that occurs with such prolonged, repeated trauma. For example, ordinary, healthy people who experience chronic trauma can experience changes in their self-concept and the way they adapt to stressful events. Dr. Judith Herman of Harvard University suggests that a new diagnosis, called Complex PTSD, is needed to describe the symptoms of long-term trauma. Another name sometimes used to describe this cluster of symptoms is: Disorders of Extreme Stress Not Otherwise Specified (DESNOS).

Because results from the DSM-IV Field Trials indicated that 92% of individuals with Complex PTSD/DESNOS also met criteria for PTSD, Complex PTSD was not added as a separate diagnosis. Complex PTSD may indicate a need for special treatment considerations.


What are examples of types of captivity that are associated with chronic trauma?

Judith Herman notes that during long-term traumas, the victim is generally held in a state of captivity, physically or emotionally. In these situations the victim is under the control of the perpetrator and unable to flee.

Examples of captivity include:

Concentration camps
Prisoner of War camps
Prostitution brothels
Long-term domestic violence
Long-term, severe physical abuse
Child sexual abuse
Organized child exploitation rings
 

What are the symptoms of Complex PTSD?

The first requirement for the diagnosis is that the individual experienced a prolonged period (months to years) of total control by another. The other criteria are symptoms that tend to result from chronic victimization. Those symptoms include:

Alterations in emotional regulation
This may include symptoms such as persistent sadness, suicidal thoughts, explosive anger, or inhibited anger

Alterations in consciousness
This includes things such as as forgetting traumatic events, reliving traumatic events, or having episodes in which one feels detached from one's mental processes or body

Changes in self-perception
This may include a sense of helplessness, shame, guilt, stigma, and a sense of being completely different than other human beings

Alterations in the perception of the perpetrator
For example; attributing total power to the perpetrator or becoming preoccupied with the relationship to the perpetrator, including a preoccupation with revenge

Alterations in relations with others
Variations in personal relations including isolation, distrust, or a repeated search for a rescuer

Changes in one's system of meanings
This may include a loss of sustaining faith or a sense of hopelessness and despair

 
What other difficulties do those with Complex PTSD tend to experience?

Survivors may avoid thinking and talking about trauma-related topics because the feelings associated with the trauma are often overwhelming. Survivors may use alcohol and substance abuse as a way to avoid and numb feelings and thoughts related to the trauma. Survivors may also engage in self-mutilation and other forms of self-harm.
 
There is a tendency to blame the victim.
A person who has been abused repeatedly is sometimes mistaken as someone who has a "weak character."

Because of their chronic victimization, in the past, survivors have been misdiagnosed by mental-health providers as having Borderline, Dependent, or Masochistic Personality Disorder. When survivors are faulted for the symptoms they experience as a result of victimization, they are being unjustly blamed.

Researchers hope that a new diagnosis will prevent clinicians, the public, and those who suffer from trauma from mistakenly blaming survivors for their symptoms.

Summary
The current PTSD diagnosis often does not capture the severe psychological harm that occurs with prolonged, repeated trauma. For example, long-term trauma may impact a healthy person's self-concept and adaptation. The symptoms of such prolonged trauma have been mistaken for character weakness. Research is currently underway to determine if the Complex PTSD diagnosis is the best way to categorize the symptoms of patients who have suffered prolonged trauma.

Recommended Reading
Trauma and Recovery: The Aftermath of Violence from Domestic Abuse to Political Terror, by Judith Herman, M.D. (1997). Basic Books; ISBN 0465087302

References
Ford, J. D. (1999). Disorders of extreme stress following war-zone military trauma: Associated features of Posttraumatic Stress Disorder or comorbid but distinct syndromes? Journal of Consulting and Clinical Psychology, 67, 3-12.

Herman, J. (1997). Trauma and recovery: The aftermath of violence from domestic abuse to political terror. New York: Basic Books.

Roth, S., Newman, E., Pelcovitz, D., van der Kolk, B., & Mandel, F. S. (1997). Complex PTSD in victims exposed to sexual and physical abuse: Results from the DSM-IV field trial for Posttraumatic Stress Disorder. Journal of Traumatic Stress, 10, 539-555.
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Offline Ursus

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Re: Complex Post Traumatic Stress Disorder
« Reply #2 on: January 15, 2009, 11:33:39 PM »
Wow. You have no idea... Thanks ever so much for bringing this to my attention.
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Offline wdtony

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Re: Complex Post Traumatic Stress Disorder
« Reply #3 on: January 16, 2009, 01:12:47 AM »
Very Very Interesting.....

This part really stuck out to me:

"Survivors may avoid thinking and talking about trauma-related topics because the feelings associated with the trauma are often overwhelming. Survivors may use alcohol and substance abuse as a way to avoid and numb feelings and thoughts related to the trauma. Survivors may also engage in self-mutilation and other forms of self-harm."

I had never heard of DESNOS before. I am not a fan of the DSM4 though, I think that manual might be as accurate as a book that tells you how to best spot a witch.
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Offline FemanonFatal2.0

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Re: Complex Post Traumatic Stress Disorder
« Reply #4 on: January 16, 2009, 01:29:05 AM »
Quote from: "Nonconformistlaw"

What are the symptoms of Complex PTSD?

The first requirement for the diagnosis is that the individual experienced a prolonged period (months to years) of total control by another. The other criteria are symptoms that tend to result from chronic victimization. Those symptoms include:

Alterations in emotional regulation
This may include symptoms such as persistent sadness, suicidal thoughts, explosive anger, or inhibited anger

Alterations in consciousness
This includes things such as as forgetting traumatic events, reliving traumatic events, or having episodes in which one feels detached from one's mental processes or body

Changes in self-perception
This may include a sense of helplessness, shame, guilt, stigma, and a sense of being completely different than other human beings

Alterations in the perception of the perpetrator
For example; attributing total power to the perpetrator or becoming preoccupied with the relationship to the perpetrator, including a preoccupation with revenge

Alterations in relations with others
Variations in personal relations including isolation, distrust, or a repeated search for a rescuer

Changes in one's system of meanings
This may include a loss of sustaining faith or a sense of hopelessness and despair


check check and check

My mother said this to me just yesterday, "You've made these victimy statements about nightmares and anxiety wtf is that about get over yourself"

Apparently she doesnt realize that PTSD is a real disorder, like I can help what it feels like to live with this.

I just dont understand how people can be so unconcerned about the long term damage an experience like this can do to someone especially a teenager who may or may not be unstable in the first place. Thank god I wasnt skitso or suicidal things would have ended up much worse.
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[size=150]When Injustice Becomes Law
...Rebellion Becomes Duty...[/size]




[size=150]WHEN THE RAPTURE COMES
CAN I HAVE YOUR FLAT SCREEN?[/size]

Offline Woof-a-Doof

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Re: Complex Post Traumatic Stress Disorder
« Reply #5 on: January 16, 2009, 07:19:39 AM »
Interesting...

Given a recent post ( viewtopic.php?f=7&t=26608&start=0&st=0&sk=t&sd=a ) on the "Genesis of Borderline Personality" and now the "Complex Post Traumatic Stress Disorder", I find it interesting how both diagnosis's are not only similar in symptomology (that is which we can see and document). However the main difference seems to be the biochemical aspect of our bodies. Since the Borderline etimology is split tween Enviromental factors and Genetic predisposition, I think this difference primarily is that no where in the Complex PTSD did it mention Genetic Predisposition, at least in the material provided by NonConformistLaw. Essentualy the Complex PTSD diagnosis says in efect...THIS or THAT was DONE TO it's VICTIM. As with the Borderline diagnosis, the environmental may have a part and then at same time the individuals Genetic predisposition may play a factor.

This is not to say of the thousands of us, there was or still is a possibility, or better said a probability of both the Complex PTSD and or the Borderline found a perfect breeding ground in the stiffeling confines of the Straight Inc warehouses. Like a Petre (sp) Dish swarming with bacteria and virus in a controled setting.

Having worked in the Mental Health Field a vast majority of my adult working life...not unlike wdTony, I also have issues with the DSM4. Not that it is a field manual for spotting witches, although it certainly could be perverted to do so. For myself, I could pick up a DSM4 (back in my day it was DSM2-3) and start anywhere in the book, read the symptoms and somehow connect them to my own self, my behaviour, my actions/reactions and my own inner-landscape. For me this is/was a dangerious form of entertainment.

Admittingly my habitual 5:00am reading and research is far from comprehensive, but in quick snooping about the i-net I found C-PTSD on Wikepedia here ( http://en.wikipedia.org/wiki/Complex_po ... s_disorder ) And again no where does it mention any type of biomedical etiology. However I did find an interesting point in the "Treatment" area, which says in part; "Since C-PTSD shares symptoms with both PTSD and borderline personality disorder, it is likely that a combination of treatments utilized for these conditions would be helpful for an individual with C-PTSD, such as dialectic behavior therapy and exposure therapy" The "dialectic behavior therapy" was mentioned in the  "Genesis of Borderline Personality" thread. A greater explaination of dialectic behavior therapy can be found here ( http://en.wikipedia.org/wiki/Dialectica ... al_therapy )

First in the Four Modules for Treatment is "Mindfullness" (which an entire thread alone would have to be dedicated) Mindfullness, as such finds it's roots in the Buddhist teachings....which personaly I find fascinating!

I do not think it is a far stretch of the imagination in suggesting that in all probability that both diagnosis could be found through out all survivors. I suspect it would vary on the physician as to whether it is:

Axis I: Borderline Personality
Axis II: Complex PTSD

or vice versa

Bottom line, if one is looking for professional help, it may be wise to be well versed in both of these conditions. When discussing them with a Therapist or Physician, be frank about Straight Inc,,,most if not all Mental Health professionals are aware of Straight Inc and the damages done. I am grateful to see these types of posts...as they are the genisis to continued healing. If it can be named, it can be addressed.

Much Healing
In Peace
woof
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Offline Anonymous

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Re: Complex Post Traumatic Stress Disorder
« Reply #6 on: January 16, 2009, 12:12:22 PM »
Quote from: "guest poster"
I looked up "post traumatic stress disorder cult" on an internet search, and I came up with some hits for Complex Post Traumatic Stress Disorder, which is new to me. From what I read it seemed like a good match because it is less about a single traumatic event and more about a series of events, like child abuse or wife battering, over a period of time. Some of the links specifically talk about people who were in cults.

Also, some of what I have read about domestic violence really fits if you just put in the cult and what it did in place of the single person abuser:

http://www.domesticviolence.org/violence-wheel/

Yes, thankyou for your post. I'm the one who started the Borderline thread.  I had never heard of C-PTSD either.  I think I will re-assess  my situation, seein as how the C-PTSD is more likely in my case, having little to no mental health history in my family.

Peace.
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Offline Anonymous

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Re: Complex Post Traumatic Stress Disorder
« Reply #7 on: January 16, 2009, 03:41:02 PM »
Wow, yeah, that's it.  I've been misdiagnosed for years too.  

I been checkin out some different sites about it, reading posts, and one person pretty much said that CPTSD develops at the beginning of the experience, not afterward.  He wrote that the trauma sets in as one realizes the utter hopelessness, he described exactly what I went through, my first weeks and months in the program/cult.   I still remember the way I felt when I was stood up on my 3rd day and informed by staff that my parents weren't even gonna hear what I had to say concerning the COC I sent up to request a withdraw conference.  After I'd already tried to run and hadn't started motivating yet.  Is that the price they are willing to pay to keep me from getting high and skipping school and discovering the world for myself ?? CPTSD ??  So, yeah, the cat up at the front, the staff leanin over his stool, stands me up.  First time I ever stood up in group and tells me my parents don't want to hear what I have to say, and how do I feel about that ??  I don't remember what I might have said but I remember that I began to motivate later that day.  Thinkin I had no choice, I was a prisoner and I would have to somehow bide my time, play along and find a way to escape later.  So that's what I did and by 2 weeks or so later I was puttin in for T&R and tryin to get stationed at a door, but I was along ways from bein granted such "responsibilities".  Well I finally got my nerve up and just booked off a 1st phase about 60 days later, on my 64th day.

2 days later I was literally physically kidnapped from the parking lot of a shopping center across from Woodson high school, in broad daylight, by a gang of 7-steppers. I pulled a knife on the driver of the car I'd been pulled into and held it to his throat but what was I really gonna do ? I tried to put pressure on his throat with the blade but even though I wanted to kill the fucker, or at least draw some blood so I could get the fuck outta there before the cops showed, I couldn't.  So eventually, and I'm not gonna get into the whole story right here...the cops arrived and I was returned to the program.

I would finally graduate after 23 months in the program/cult, having copped out 4 times and been started over once, misbehaved and been on consequences, including sleep deprivation where I was made to sit up "straight" in a wooden chair in the newcomer room at the host-home, while the oldcomers took shifts keeping me awake and sitting up "straight" and the other newcomers slept on mattresses on the floor around me.  At 3 am I was allowed to sleep for 3 hours, til 6 am, when I would be awakened and be kept awake again for the next 21 hours.  I like to think it took 'em a week to break me that way, but lookin back I'd be amazed I could last that long.  

So the Complex-PTSD makes total sense to me.
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Offline Nonconformistlaw

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Re: Complex Post Traumatic Stress Disorder
« Reply #8 on: January 16, 2009, 10:20:36 PM »
Quote from: "Ursus"
Wow. You have no idea... Thanks ever so much for bringing this to my attention.
I stumbled across this a few months ago myself on myspace....I knew right away this is what I have...I have heard that DR has a lot of insight into Complex PTSD and am hoping to read her book....I am so glad someone started this topic.
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Offline Nonconformistlaw

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Re: Complex Post Traumatic Stress Disorder
« Reply #9 on: January 16, 2009, 10:30:17 PM »
Quote from: "FemanonFatal2.0"

check check and check

My mother said this to me just yesterday, "You've made these victimy statements about nightmares and anxiety wtf is that about get over yourself"

Apparently she doesnt realize that PTSD is a real disorder, like I can help what it feels like to live with this.

I just dont understand how people can be so unconcerned about the long term damage an experience like this can do to someone especially a teenager who may or may not be unstable in the first place. Thank god I wasnt skitso or suicidal things would have ended up much worse.

you might find this article interesting too.

PTSD & Secondary Wounding
Excerpts from I Can't Get Over It - A Handbook for Trauma Survivors
Author: Aphrodite Matsakis, Ph.D.

http://www.angelfire.com/va3/companyg/s ... nding.html

"As important to the healing process as other people are, it's an unfortunate truth that often people do more harm than good. Strangers who don't understand your situation can be unintentionally cruel, but so can those who should know better: family, friends, and helping professionals. Instead of being supported, you have been made to feel ashamed of having been a part of the traumatic event in the first place, of your reactions to the event, or the symptoms you have developed as a result, or even for asking for help.

You may have heard, for example, "You weren't hurt enough to be entitled to benefits, " or "It happened years ago. You should be over it by now." Such attitudes exist even in the most obvious and horrendous cases of victimization.

Secondary wounding occurs when the people, the institutions, caregivers, and others to whom the survivor turns for emotional, legal, financial, medical, or other assistance respond in one of the following ways:

Disbelief:

Commonly, people will deny or disbelieve the trauma survivor's account of the trauma. Or they will minimize or discount the magnitude of the event(s), its meaning to the victim, its impact on the victim s life.

Blaming the Victim:

On some level, people may blame the victim for the traumatic event, thereby increasing the victim's sense of self-blame and low self-esteem.

Stigmatization:

Stigmatization occurs when others judge the victim negatively for normal reactions to the traumatic event or for any long-term symptoms he or she may suffer. These judgments can take the following forms:

• Ridicule of, or condescension toward, the survivor
• Misinterpretation of the survivor's psychological distress, as a sign of deep psychological problems or moral or mental deficiency or otherwise giving the survivor's PTSD symptoms negative labels.
• An implication or outright statement that the survivor's symptoms reflect his or her desire for financial gain, attention, or unwarranted sympathy.
• Punishment of the victim, rather than the offender, or in other ways depriving the victim of justice.

Denial of Assistance:

Trauma survivors are sometimes denied promised or unexpected services on the basis that they do not need or are not entitled to such services or compensation.

Causes of Secondary Wounding

In essence, secondary wounding occurs because people who have never been hurt or traumatized have difficulty understanding and being patient with people who have been hurt. Secondary wounding also occurs because people who have never been confronted human tragedy are sometimes unable to comprehend the lives of those in occupations that involve dealing with human suffering or mass casualties on a daily basis.

In addition, some people simply are not strong enough to accept the negatives in life. They prefer to ignore the fact that sadness, injustice and loss are just as much a part of life as joy and goodness. When such individuals confront a trauma survivor, they may reject, depreciate or ridicule the survivor because that individual represents the parts of life they have chosen to deny.

On the other hand, it also happens that trauma survivors are rejected or disparaged by other survivors those who have chosen to deny or repress their own trauma and have not yet dealt with their loses or anger. When trauma survivors who are not dealing with their traumatic pasts see someone who is obviously suffering emotionally or physically, they may need to block out that person in order to leave their own denial system intact

The following sections give a brief run-down of some of the common causes of secondary wounding.

Ignorance:

Some secondary wounding stems from sheer ignorance. Especially in the past, there were few, if any, courses on PTSD available to medical, legal, and mental health professionals. Today such courses are available in many locations; however, they are not a required part of the training in any of those fields.

Burnout:

Another cause of secondary wounding is that many helping professionals are themselves suffering from some form of PTSD or burnout. As a result of having worked for years with survivors, they (like those survivors) are emotionally depleted. They may also, like many survivors, feel unappreciated and unrecognized by the general public and by those in their workplace.

"Just World" Philosophy:

Another hurdle victims face is the prevalence and persistence of the "just world" philosophy. According to this philosophy, people get what they deserve and deserve what they get. The basic assumption of the "just world" philosophy is that if you are sufficiently careful, intelligent, moral, or competent, you can avoid misfortune. Thus people who suffer trauma are somehow to blame for their misfortune. Even if the victims aren't directly blamed, they are seen as causing their own victimization by being inherently weak or ineffectual.

The Influence of Culture:

Our nation was founded by individuals who overcame massive obstacles by means of hard work, self-sacrifice, and physical and emotional endurance. As a nation today, as in the past, we pride ourselves on the can-do spirit and our American ingenuity we are certain we can overcome almost any hardship. The American dream tells us that our country is so bountiful and so full of opportunities that anyone who wants the good life can have it; all they have to do is pull themselves up by their own bootstraps.

Abraham Lincoln is quoted as saying, "People can be happy as they make up their minds to be," implying that in the personal realm, man can be master of his own fate. If only he were right."
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Offline dishdutyfugitive

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Re: Complex Post Traumatic Stress Disorder
« Reply #10 on: January 16, 2009, 10:35:30 PM »
It's about time we call a spade a spade.
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Offline Ursus

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Re: Complex Post Traumatic Stress Disorder
« Reply #11 on: January 16, 2009, 11:57:32 PM »
Somewhere or other just recently, someone posted re. some similarities between C-PTSD and Borderline Personality Disorder. My guess is that these are superficial similarities based on the coping methods of the C-PTSD survivor. The second two paragraphs of this  excerpt from the Introduction of the book Trauma and Recovery, by Judith Lewis Herman, explain that pretty well for me:

—•?|•?•0•?•|?•— —•?|•?•0•?•|?•— —•?|•?•0•?•|?•—

THE ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable.

Atrocities, however, refuse to be buried. Equally as powerful as the desire to deny atrocities is the conviction that denial does not work. Folk wisdom is filled with ghosts who refuse to rest in their graves until their stories are told. Murder will out. Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims.

The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy. When the truth is finally recognized, survivors can begin their recovery. But far too often secrecy prevails, and the story of the traumatic event surfaces not as a verbal narrative but as a symptom.

The psychological distress symptoms of traumatized people simultaneously call attention to the existence of an unspeakable secret and deflect attention from it. This is most apparent in the way traumatized people alternate between feeling numb and reliving the event. The dialectic of trauma gives rise to complicated, sometimes uncanny alterations of consciousness, which George Orwell, one of the committed truth-tellers of our century, called "doublethink," and which mental health professionals, searching for calm, precise language, call "dissociation." It results in protean, dramatic, and often bizarre symptoms of hysteria which Freud recognized a century ago as disguised communications about sexual abuse in childhood. . . .
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Offline firstresponder

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Re: Complex Post Traumatic Stress Disorder
« Reply #12 on: January 21, 2009, 11:13:06 PM »
when i went to two rivers mental health they had to dig and i mean dig to find books on what i could have. they said the closest that they could come to to help treat me is with recommendations for POW's. ya 3 weeks of being treated like a POW for PTSD all kinds of fun.
so ya i can see and dealt with what they have written there. only after that did my parents believe me on how bad these places are.
still have trouble standing in line, going to eat at cafeterias, etc...
just glad i dont have to take meds all the time.
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trained to save you ass not kiss it.

Offline dishdutyfugitive

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Re: Complex Post Traumatic Stress Disorder
« Reply #13 on: January 21, 2009, 11:46:49 PM »
Quote
The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma.

Let’s take this at face value. Let’s assume it’s spot on.  Add cedu and you have the most effective form of mindfuckery imaginable.

Quote
People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy.

What about people who have survived traumatic events and then get shipped to cedu?

Let’s consider the context of the cedu situation

Cedu is best described as an environment (with 24/7 enforcement) that is :

highly emotional
contradictory
fragmented
undermining
chock full of secrecy
warped with outlandish ‘truth telling’ doctrine


It’s a recipie for disaster.

No one in the industry has taken accountability or made a public statement acknowledging  this fact. The staff members just do musical chairs to the next green pasture.

House of cards.
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